– Discussion: – two sites have been proposed for nail entry: – tip of the greater trochanter and the piriformis fossa; – Entry thru Piriformis Fossa; – main advantage a colinear trajectory with the long axis of the femoral shaft – accurate positioning of the entrace hole is critical. … Read more
– See: adult femoral and acetabular anteversion – Discussion: – femoral version is defined as the angular difference between axis of femoral neck and transcondylar axis of the knee; – excessive femoral anteversion (medial femoral torsion) is most common cause of in-toeing that first presents in early childhood; – … Read more
– Discussion: – femoral version is defined as the angular difference between axis of femoral neck and the transcondylar axis of the knee; – excessive femoral anteversion (medial femoral torsion) is most common cause of in-toeing that first presents in early childhood; – it is twice as common in girls as … Read more
– Discussion: – recurrent rotator cuff tear: – ref: Mode of failure for rotator cuff repair with suture anchors identified at revision surgery – deltoid injury: – may occur from axillary nerve palsy or from avulsion of deltoid off the acromion; – consider … Read more
– External Fixation Main Menu – Discussion: – disadvantages of external fixation: – pin tract infections, delayed union / non-union, and malunion; – cosmetic problems; – advantages of external fixation: – technically easy to perform; – no soft tissue stripping; – ease of removing hardware; – comparison of IM nailing vs external fixation – Initial … Read more
– See: – Rupture of the Quadriceps – Patellar Tendon Injury – Tibial Tubercle Frx – Discussion: – extensor mechanism includes quadriceps, quadriceps tendon, medial & lateral retinaculum, patellofemoral and patellotibial ligaments, Patellar Tendon (ligament), and tibial tubercle; – superficial location of extensor mechanism make it suseptable to injury; … Read more
– See: Extensor Tendon Rupture in RA – Discussion: – this tendon is prone to rupture from synovitis and increases friction at Lister’s tubercle second to diseases such as RA and Lupus; – EPL is tendon that is most frequently ruptured from distal radius frx; – if … Read more
– See: Forearm Extensors : – Anatomy: – origin: 2 heads from lateral epicondyle & middle 1/3 of posterior ulna; – insertion: – posterior surface of base of 5th metacarpal; – ECU is the only wrist extensor that lies in its own fibro-osseus tunnel; – action: extends and adducts the hand at the wrist; – … Read more
– Discussion: – RA manifests itself in many ways in elbow joint, including nodules and bursae, synovitis, progressive joint destruction, antecubital cysts, & ulnar or, rarely posterior interosseous palsy; – note that involvement of the RA elbow is infrequently an isolated and therefore it is important to consider possible involvement in the wrist … Read more
Arthroscopic treatment of the arthritic elbow. Management of elbow osteoarthritis. Primary Osteoarthritis of the Elbow: Current Treatment Options Osteoarthritis of the elbow: results of arthroscopic osteophyte resection and capsulectomy Débridement arthroplasty for primary osteoarthritis of the elbow Debridement arthroplasty for primary osteoarthritis of the elbow. Surgical technique Arthroscopic debridement without radial head excision of the … Read more